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Dr. Lisa Iannattone Profile picture
@lisa_iannattone
Dec 8, 2023 • 8 tweets • 2 min read • Read on X
StatCan just dropped a bombshell report on LC. This is the most important figure. It highlights that the risk of long term symptoms is cumulative, it increases with increasing number of infections. By 3+ infections, 38% report long term symptoms — that’s 1 in every 2.6 people. 🤯 Data table for Chart 2 — Percentage of Canadian adults with long term symptoms, by number of self reported covid-19 infections, June 2023 1 infection — 14.6% 2 infections — 25.4% 3 or more infections — 37.9%
Right now 1 in every 9 Canadians has long covid. 80% have symptoms for longer than 6 months and 50% just never recovered.

Full report here:
www150.statcan.gc.ca/n1/pub/75-006-…
How long before the majority of the population is at 3+ infections and 1 in every 2-3 people is suffering from long covid?

What’s the plan @GovCanHealth? Full speed ahead or? 🚆
@GovCanHealth All the evidence points to increasing odds of developing long covid with each reinfection. Lots more studies in this thread. The risk is cumulative, that’s abundantly clear at this point. What’s not clear is why leadership isn’t doing more to educate the population about this.
@GovCanHealth I try not to say the V word to avoid attracting bots/trolls. But when it comes to LC, V is a harm reduction strategy, not a prevention strategy.

Prevention= preventing covid infections (air/masks/tests). Having up to date Vs on board= harm reduction in case you catch it anyway.
@GovCanHealth The same way you try really hard NOT to crash your car, but you also wear a seatbelt when driving so that if you crash anyway, you have better odds of being okay.
There are a few people out here that are of the opinion that these stats are an exaggeration. I would like to kindly remind those people that Statistics Canada is a national agency and the stats/figure in this thread come from their report on LC which is linked in the 2nd tweet.
Just noticed a typo in the second tweet. It should read 1 in 9 has had* long covid.

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More from @lisa_iannattone

Dr. Lisa Iannattone Profile picture
Mar 4, 2024
Public health has changed a lot since covid. Here’s a really concrete example of that. In 2019, PH in Montreal published a really detailed list of places people were exposed to measles: bus routes, malls, walmart, etc. In 2024? The list is just healthcare, schools + the airport.
From a 2019 Montreal Gazette article: Those sites include the Walmart store on the Chomedey autoroute; the Second Cup outlet as well as common areas near Gate 2 at Carrefour Laval; the Laval Excellence gymnastics club on St-Martin Blvd. E.; the Oeufrier restaurant, the Dollarama store and Proxim pharmacy on Laurentides Blvd. Buses running on the No. 20 and 70 routes in Laval at specific times on June 26 are also deemed as at-risk areas. The areas and precise exposure times are available at the ministry’s website. A person considered contagious visited the mall on June 26. The call for v...
The list of measles exposures from the 2024 Montreal outbreak which includes on healthcare facilities, childcare/school and the airport.
Why the sudden change in what information is made public? I highly doubt that *none* of these measles cases exposed people anywhere else. Did any of them go to a pharmacy or grocery store or coffee shop or hockey rink? And if so, why aren’t any of these locations being published?
Not publishing these locations means 1. people don’t have the opportunity to protect themselves and others post-exposure and 2. the fact that people are actively being exposed in the community (not just clinics and airports) is not being made explicit for the public.
Read 6 tweets
Dr. Lisa Iannattone Profile picture
Dec 15, 2023
@Penelope19920 @jvipondmd As soon as the IPAC email goes out letting everyone know they need to wear masks, everyone wears masks. If IPAC decides everyone has to wear respirators, then everyone wears respirators. This actually isn’t hard at all. Why leadership would make it seem like it is, is baffling.
@Penelope19920 @jvipondmd They lean on hand wave-y concepts like mask fatigue when I have never once received a survey asking me how I felt about masking. None of this is evidence based. Since 2022, they seem to be making decisions based on “feels”.
@Penelope19920 @jvipondmd Do you know what happens in hospitals when HCWs get hand washing fatigue? They hire people to patrol the wards and make sure we’re washing our hands when we’re going in and out of patient rooms. They don’t give us hand washing breaks and just let c.diff run wild for a while. 😒
Read 4 tweets
Dr. Lisa Iannattone Profile picture
Dec 2, 2023
We’re in our *3rd* post-lockdown viral respiratory season and admissions for viral resp illness+pneumonia are 6 standard deviations above the historical average. I do not understand how so many reasonable people haven’t figured out that the “immunity debt” scapegoat is disinfo.🧵
It’s not the lockdowns, it’s the covid. Covid damages immune systems. Catching covid makes people more susceptible to catching other infections. Immunity theft, not immunity debt. A thread of evidence:
This study found that the risk of RSV infection needing medical attention was 40% higher in kids that had covid vs those that didn’t. Both in 2021 and 2022. Yes they checked twice.

pubmed.ncbi.nlm.nih.gov/37832975/
Read 31 tweets
Dr. Lisa Iannattone Profile picture
Nov 17, 2023
“We report a consistent increase in the risk of persistent symptoms after reinfection compared to first infection. All post-acute symptoms mentioned in the WHO clinical case definition appeared more common after reinfection than after a 1st infection”

‘RoBuSt HyBriD iMmuNiTy’ 🤪 Screenshot of the article linked in the next tweet “The burden of post-acute COVID-19 symptoms in a multinational network cohort analysis”
Yet another study showing that more infections = more morbidity. Can we like warn people maybe? Feels like something people might want to know.
nature.com/articles/s4146…
“Escalation of commitment: A human behavior pattern in which an individual or group facing increasingly negative outcomes from a decision, action, or investment nevertheless continue the behavior instead of altering course.”

¯\_(ツ)_/¯
Read 9 tweets
Dr. Lisa Iannattone Profile picture
Nov 14, 2023
I’m very optimistic that vaccine/treatment breakthroughs + better air hygiene standards will change the game at some point. But I’d also like to point out that preserving one’s short and long term health is an endgame in and of itself. It’s the endgame for so many things we do…
The endgame of exercise? Health.
The endgame of limiting alcohol? Health.
The endgame of treated tap water? Health.
The endgame of tossing spoiled food? Health.
The endgame of cooking meat to temp? Health.
The endgame of washing your hands? Health.
The endgame of screening and checkups? Health.
The endgame of carseats and seatbelts? Health.
The endgame of helmets? Health.
The endgame of brushing your teeth? Health.
The endgame of condoms? Health.
The endgame of indoor smoking bans? Health.
Read 7 tweets
Dr. Lisa Iannattone Profile picture
Nov 4, 2023
If I said you had a 1 in 10 chance of winning the lottery each time you play, do you like those odds? How many times would you play?

If I said you have a 10% chance of winning chronic health issues each time you catch covid, do you like those odds? How many times would you play?
Covid isn’t a one a done disease. Every time you catch the virus, you’re risking your health again. The spectrum of post acute sequelae is wide and includes heart problems, strokes, autoimmune diseases, immune system dysfunction, viral brain injury, POTS… the list is long.
Disability rates haven’t stabilized since the great mass infection event of early 2022. They’re still rising. These are the rates for the US and the UK.

How many times do PH leaders plan to have everyone mindlessly play the chronic disease/ disability lottery? What’s the plan?
US bureau of labor statistics graph of civilian labor force 16+ with disability showing a continuous rise since 2020 that hasn’t leveled off.
UK ONS labour market survey graph of number out of the workforce due to long term sickness showing a continuous rise since 2020 that hasn’t leveled off.
Read 10 tweets

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